tv Loretta Lynch and John King Discuss Policing and Race Relations CSPAN August 5, 2016 3:54am-5:38am EDT
of shipping containers, moving from places like china and indonesia and elsewhere. you know, railroads are very much a part of that route. so, when you go through california, where there are large shipping facilities, the railroads are right there alongside the container ships. >> then, mike connell, former executive editor, talks about the rich history of heron, its ontorical influence michigan. but l just in the state, ocally, we have done really well the things crashed around the year 2000. 2000, michigan was one of but aalthiest states, few years later, we became one of the poorest states.
>> we will make a stop at the thomas edison museum. will also speak with the museum manager. >> we have every creation of his little chemical laboratory and printing equipment, for he was the first person that we know of to print a newspaper on a moving train. he had access to the latest news through the telegraph agents at the train offices. and he would get that news right, hnoot off the presses. >> we then tour the first lighthouse in the state of michigan. saturday at noon eastern on c-span's book tv and then cities-span tour, working with our cable affiliates, and traveling across the country. this weekend, our road to the white house coverage takes us to
the green party convention. see the acceptance speeches by the nominees for president and vice president. watch commercial-free coverage on c-span and listen on your mobile device using the c-span mobile app, or watch any time at www.c-span.org. vicerginia senator and presidential nominee tim kaine addressed the annual conference in baltimore yesterday. he was introduced by urab league president and ceo, who said donald trump decided not to attend the conference. this is about 45 minutes. >> urban leaguers, let me ask you to please proceed to your
seats. thank you very much. give yourselves a big round of applause. [applause] >> as we prepare for our presidentia of tradition the national urban league it has been the tradition of the national league to extend invitation to the candidates of the two major political parties in the united states. to be a part of our presidential plenary which is taking place every year at our annual conference. held for everyone to recall certainly that going all the way back to
2003, the year before the 2004 election, the national early presidential primary event at which a number of democratic candidates and even incumbent president george bush attended and participated. 2004, when the nominees were john kerry and george w. bush, both of them joined us in detroit michigan and addressed the conference at the urban league conference. met in st. louis, the year before the 2008 election, we extended an invitation to each and every announced candidate about the democratic and republican nomination. we were joined at that memorable
of democraticer candidates including senator barack obama and we were also joined come he passed by but he said hi, by republican candidate mike huckabee. moving forward in 2008, we were pleased only met in orlando pleased that we were joined by both senator barack obama and senator john mccain for our presidential event. year of the last presidential election we extended invitations to both president obama as well as governor mitt romney and
governor mitt romney declined but president obama joined us in new orleans. in fortr when we met lauderdale and had a great event and wonderful meeting in south florida, it was him with as hot as it is in baltimore, we had a grand time. we were joined by five candidates and those five candidates included three democrats and two republicans. with our, consistent effort to extend invitations to the candidates of both major parties, we extended an invitation to both the hillary clinton campaign and the donald trump campaign. attend or send an appropriate high-level
representative. i want all of you to know today that billy clinton campaign accepted our invitation and has sent its buys presidential nominee senator tim kaine to be with us and i'll introduce him in a minute. the donald trump campaign, we corresponded with and spoke to on a number of occasions declined our invitation to be here this morning. media each of you in the to have that very important history of how we have proceeded and what we have done this year is consistent with what we have tried to you over the years -- to do over the years to provide an opportunity for people to come and speak to urban leaguers from all across the nation. oure gather, we gather with main street marshall plan in
mind. we gather under the theme of saving our city's education, jobs, and justice. we gather for a serious and sobering conversation about the challenges that we face as a nation. before introducing senator kaine, we are joined this morning by a number of elected officials from the state of maryland. if any are in the audience, let me ask if they would stand so we can probably -- properly recognized them. please stand. [applause] representative elijah cummings. [applause] a great leader from baltimore and the state of maryland. thank you very much. onto tim kaine. some of you may not have known a lot about tim kaine prior to his
election as hillary clinton's running mate. secret, and close and open circles that he is absolutely a man of integrity. he has helped people throughout his life. he's been a missionary, a civil teacher, aer, a silly -- city councilmember, a mayor, lieutenant governor, the governor, and now the united states senator. is one of only 30 people in american history to serve as mayor, governor, and united state senator. senate as ahe can-do optimist skilled in bringing people together across lines of party, race, region and gender. in the senate he is on the armed
services committee. the budget committee, the foreign relations committee and the aging committee. he is a ranking member on the armed services readiness committee and foreign relations subcommittee on state department and u.s. id management. an international operations in bilateral international development. that is a long title. i can attest, is an important committee. a man of great accompaniments and commitment to service the is no wonder that he is so well received by most to meet him. -- who meet him. he grew up in his father's iron working shop in kansas city. he attended and was educated at the university of missouri and harvard law school and started his public service career by taking a year off from harvard to grenade -- run eight technical school founded by desolate missionaries in honduras.
he practiced law school and -- law in richmond specializing in the representation of people denied housing due to their race or disability. he also began teaching part-time at the university of richmond in 1987. first elected to office in 1994 as a city councilmember and then mayor of richmond. as i have said, he went on to become lieutenant governor, governor and now serves in the united states senate. he is a married man. mary to be very accomplished and secretary serves as of education for the state of virginia and they have three adult children. urban leaders, are you ready. ? [applause] let's hear what senator tim kaine has to say. leaguereet with an urban welcome, senator tim kaine. [applause] ♪
sen. kaine: good morning baltimore. what a treat. want to start with a set of thanks and i get to the important business of the day. i'm thrilled to be in baltimore r. a richmonde i consider both a neighboring city and i always love coming. i want to thank mark, your president. he is a dear friend because mark was a marissa mayer. mayor.r's i met him when he was a present of the u.s. conference of mayors. that is an important position. when the mayors of the country to stone to be the president,
that is a sign of unique honor and that is how mark and i met. we both had a little more hair and it was a little less gray but his role as president of the urban league is so important. she did a great job for the people of new orleans which is why they elected him as many times as they could and now he is here to his great work. i would do think a tear of the national board of directors who is also a longtime friend. organizations like this cannot be successful without dedicated towards. -- boards. finally, i was greeted by three wonderful maryland public servants as i walked in the door. amebody who justice such leader in the united states senate, senator barbara mikulski. i learned so much from her. please give her a round of applause. [applause] to a tremendously effective congressman who itemized from a far from the other side of the potomac and now i had the
pleasure to work with him that i'm in the senate, cognition elijah cummings. [applause] glad to be here in the city. finally, as a former mayor, i'm glad to have your mayor, stephanie rawlings blake here. as a fantastic job secretary of the democratic national convention last week. [applause] it is an honor today to be here with the urban league. the issues that are close to your heart are also close to mine. i got my start in politics in richmond city council. as your president you described, i was a city councilmember and then mayor and a lieutenant governor and governor and national party chair and senator. i have a hard time keeping a job. [laughter] the research is right. only 29 people in the history of the united states have been a mayor, governor, and unite state senator. i was surprised when i first learned that and i thought back, being married is so hard and you make so many people so mad that
often the mayor is the last job you'll hold. mayor's jobs are currently important and obvious he knows that more than the urban league. i only say that the most bible lessons i learned in college -- politics and if i'm good at anything, it is because of the lessons i learned in local government. that is where you are closest to people's lives, closest and you can see how your choices directly impact communities like which schools you decide to renovate or where you build new ones, what neighborhoods you direct your investment towards, what policing and law enforcement philosophy do you adopt. these are the decisions that local leaders made. just like the urban league stride to do in local government, empower people and communities. i will begin by saying thank you . thank you for fighting for a long overdue reforms to the criminal justice system. thank you for helping people get good jobs and better education.
thank you for those missions in your chapters all across this country. mayor of richmond we had an urban league affiliate with work hard with us on summer jobs programs. they knew that a job for a young person, a summer job could change the trajectory of somebody's life. especially if that young person may be had and felt like something he was paying attention to them or believing them. that is what i saw in richmond. the impact up close. i want you to know that if hillary and i win this november, he will have not one but two people in the white house to understand the unique set of challenges facing american cities and we are committed to working together if you to solve them. [applause] i am an unabashed believer in the power of our cities. they are cute sources of national strength -- huge
sources of national strength. to thrive they must have a partner in washington on writ infrastructure, housing, environmental issues, jobs and so much else. i know it firsthand. find ase our cities will partner in a clinton-kaine administration. likely to ask me to be the running mate 12 days and 10 hours ago. who's counting? [laughter] she called me and asked me to join the ticket. it is still pretty new. as i have become part of the ticket, i'm grappling with the notion that one state in this country, the common with the virginia as they run well in part of what i need to do is introduce myself to the people of the other 49 states. hillary and i took a bus tour with my wife who was the secretary of education who just up down to campaign full-time and with president clinton, the four bus across pennsylvania and ohio last week.
fantastic convention. were any of you out there convention? [applause] philadelphia really showed off well. we were in pennsylvania and ohio. this week i have been in florida, north carolina before coming to baltimore. i will be in wisconsin and michigan tomorrow. we are not wasting a single minute because it is now 97 days until election day and we caps on much to do. the stakes in this election are too high for to many people and you know that better than anybody. i've had the chance to work with some of you before and am grateful for that. , alexay longtime friend herman a great virginia and friend and i can sort of name said. for those of you who i've not worked with sus to tell you a bit about who i am, and what i care about. and who i will be fighting for
every day. you heard a little bit from mark but i will go through to. i grew up in kansas city. any kansas or missouri folks? we do. right in the center. the midwestern part of the audience. the heartland of the audience. didew up in a family that not care about politics. they can about service, treating people right. my dad ran a i working shop. iron shop.g shop -- he told us that the welders who, through school and it would be my business school that would put my workers kids through school. we believe to ensure prosperity. it was not a battle between management and labor. it was a partnership. my dad and mom, their life and healthy at age 81. they are why i believe so deeply in standing for partnership with workers and labor today.
my faith was always important to me because the way i was raised. i would trade -- i went to a jesuit high school. you know how seriously they take service. our high schools motto, a boy school, men for others. you measured your life by what you could do for others. i knew right away under the influence of these great leaders that that is what i wanted to do. i wanted to grow up to be a man for others. someone who would fight for social justice and watch out for people who may be did not have others watching out for them. that is one thing to say, but i had to figure out how to do. it took me a while. i would to mazuma for undergrad. to mizzou forent undergrad and harvard law school . then i took a year off to go to honduras. it was a transformative experience for me. it exposed me to what a lot of the world is like. not just a poverty unfamiliar
with, but it was a military dictatorship. people could not vote. people cannot participate. nged for a day when they could participate. then i can country where so many of us kind of took it for granted. andn back to law school integrated stroke of luck, i bet my wonderful wife. we have been living in her hometown and married for 32 years. to go to the very truth we were married in 32 years ago. -- we still go to the very same church we went to get married. [applause] family is very into politics. her mother was the republican governor of virginia committed the decision to desegregate virginia schools. [applause] hadprevious governors thought to maintain segregation,
even 15 years after brown the board.all kind of tricks are being played to maintain school segregation. bene decided we wanted to an aristocracy merit. he integrated schools and he and his wife, the first lady my mother in law .1 step further and do not make euro for other kids, they sent their own kids to the newly integrated public schools in the heart of the city of richmond. [applause] that sent a strong signal to the people of virginia that the governor was back to back down. not that the leaders had just pastorals for others, but had to pass rules and be willing to live by them and be happy. there is a front-page big on the near times where the governor is escorted his daughter into what a previously been a single race all african american school. a big smile on his face. there were many front-page photos of southern governors standing in the schoolhouse come out forg kids
is a welcome there's only one governor with a smile on his face escorting his children into integrated schools. i'm proud to say that many years later we sent our three kids to the same richmond public school that the grandfather had opened to everybody 40's before. [applause] -- 40 years before. [applause] as a young lawyer i made my focus civil rights. i first i was a young african-american woman. she was just about my age. i was 26. she was just starting her career after finishing school. she's on advertising for an apartment -- saw an ad for an apartment. but like it matched what she wanted and she set up an appointment to visit. she went on her lunch hour to the apartment. soon as the landlord saw her face, he said i'm sorry, the apartment has just been rented. with at back to work sick feeling in her some and she asked a white collie to ask about the apartment and the
landlord was lovey-dovey and the apartment was still available. lorraine came to me and i found my first lawsuit, a federal fair housing action against the owner. [applause] with the testimony of her coworkers, that case was a slamdunk but because i had done one case, suddenly i was now the very house an in the entire virginia state bar. for the next 17 years i worked to bring dozens of suits against banks, landlords, real estate firms, insurance companies and even local governments that had treated people unfairly and housing. that eight, i represented a group of families challenging redlining and the homeowners insurance industry. when i tried that case in the city of richmond, in 1998i won the largest jury verdict and civil rights case in american history.
it took me six years to get to that point, we were battling. clinton'sillary story. you did some things similar pitchers working at the tilde legal defense fund going undercover to expose racial segregation in the alabama schools. i got a paint a contrast, hillary's opponent, our opponent was taking a different path. here is what he was doing. around the time i father was desegregate schools, the urban league was connected with this. they90 --
filed a lawsuit to stop discrimination at 39 different properties owned by the company and part of the resolution of the suit also involve the urban league, the urban league had the ability to recommend tenants at all of these properties freight time of two years once the case was settled. the urban league was working on this in new york and elsewhere and has been forever. i'm battling it in virginia. it was exactly the kind of housing determination that i made the heart of my legal career. this is real personal to me. i could have stayed in the civil rights field for my whole life and i really thought i was.
i was in a political person. i found myself go to soak council meetings. -- city council meeting. i heard senator mikulski told her stories about city council meetings. raising some of the issues i was doing with every day. like a lot of great cities, richmond has a lot to offer. we also have a lot of challenges and problems. we are city with a history. we are city with some scar tissue. i've seen extreme poverty in honduras. some of the parts of richmond were not that far off. i've seen inadequate medical care. some of the parts of richmond and parts of our nation are not that far off. too many of our schools were dilapidated. too many schools dated back to the 1880's and the building did not send a message that community that education was that important. which students were sent to the oldest and most broken down school. poor kids, black kids come other minority kids. it felt like if you want me to
the school, if ellison had quite the -- felt like someone had quietly decided that these kids deserve less. the same poll that maybe be a civil rights leader got me to public office. part of my community to see if i could make a difference and not wait around for something else to tackle these issues. i read my first race. for city council. it was something i never thought i would do. i knocked on every door in my district and i won my first race over a popular incumbent by 94 votes. [applause] after two terms i ran for mayor. i will be honest, my running for mayor was a little bit odd. about 60% minority. i will be honest, a painful part of my city. my city was formed in the 1780's. it was majority it white. period, the200 year white majority never let an
african-american be mayor. become majority african-american in just a few years after that, with a history of treating african-americans with indifference at best, hostility and content that worst, i decided as i was a method to my counsel that i wanted to put myself forward to be mayor. at the african american community do something for me was the caucasian comedienne of the most to do for an african american in hundreds of years. just me on my record, let me do my job. i think i would be a good mayor. i would let my mentors, henry marsh. legendary civil rights lawyer. part of a law firm that brought one of the companion cases to brown the board. he was elected the first african mayor in richmond. henry and i had been friends since i moved to richmond. he asked me, looking good in the face if i would work my heart out for everybody in the city i
told him i would. then he said, look, go ahead and run. you will run with my blessing. as long as you never forget who you are working for and never forget the privileges that major success possible. and you never forget that we are extending you an opportunity that nobody ever extended us. you remember those things. i ran, i won, i was a two-term mayor and i tried to honor that promise every day since. stoodlater henry and i together to watch barack obama accept the democratic party nomination for president. henry and i worked together on the floor. when the boats but barack obama over the edge. i turned to henry and his are streaming down of our cases. i asked henry what he was begging if you just said to me, my dad was the smartest man i ever knew they only let him be a waiter.
that is what he was thinking. deceased, theg most consummate the avenue and yet he was held down and could not be all he wanted to be because of society at the time. without thebe here example of my republican father-in-law who integrated virginia schools and they got frozen out of virginia politics for the rest of his life and i would not be here today without henry marsh, a dear friend who look at a guy instead we will take a chance on you if you will stand true to principle. if hillary wins and if i win -- [applause] if hillary wins and if i win this fall, and have the honor of serving as you're vice president, 2000 peoples who stories i will carry with me at my civil rights clients, my heroes like henry marsh, just ith i worked with, -- jesuits worked with companies of the values. the wrongs of this
country. i learned more from them every day. so many things that i know that are wrong, i have not felt the sting of them myself. i've know them because i am able to listen. and because of my spanish fluency, i don't same a great spanish fluency but i have the ability to listen and that is an important thing to have. you to tear down the barriers that remain and hold ourselves to the ideals that set us apart. nadia race, religion, ethnicity, national origin, or anything else, everyone in this country should get a fair chance. everybody should be treated that way. [applause] it starts with facing our history. as governor of virginia i did something or other government had done, i officially apologized on behalf of the commonwealth of virginia for slavery. [applause] i've done the same thing as mayor for richmond. i worked with my friend to plan and fundraising construct and
unduly civil rights memorial on our capital concert i worked on a project to digitize all the records of the freedman's bureau. oral history of slaves taken from the civil war to so we could digitize them so that more people could search and get geological data about their families haveany been able to find connections. [applause] or when the history that is rich in its whitewash to leave out the profound suffering of folks, what message does that send about the value of your life and experience? that is of the congressional by caucus and i are working together to form a commission to memorialize the 400 anniversary of the arrival of african slaves at jamestown. if we had a federal commission to commemorate the 400 anniversary of the arrival of the english at jamestown. we had a federal commission to commemorate the 450th anniversary of the arrival of
the spanish at saint augustine for good. --, florida. if english lives in history medicaid if spanish lives in history matter. an african american life in history automatic also [captions copyright national cable satellite corp. 2015] [laughter] -- ought to matter. because black lives matter. [applause] hillary has ultimate fighting these fights for a long temperatures in a passionate advocate for children and families for a decade. decades. she is been focused on the issues of systemic racism and inequality in whether it is in our economy, criminal justice system, our schools, and everywhere else. she is poking prickly about the work that all americans, especially white americans need to do to write these wrongs. seedlings taken on these inequities are one of the most important tasks. i agree with her. i believe one of the reasons she asked me to be a running mate is because she knows i will be
fighting right alongside of her. newary's proposal to a commitment to equity and opportunity for african-american history we have to -- we have a real plan. you can check out the details on hillary clinton.com. we are not afraid to show the details. hundreds offor billions of dollars in new investment in our cities just like baltimore and richmond and cities with the urban league all of the country. hillary and i are big fans of congressman jim clyburn of south carolina and his 102030 plan. to placesding going where 20% of people have lived in poverty for 30 or more years. we have to focus our resources on the resources were they will to the most good. we have to have a targeted approach. to operate persistent poverty. rural, indian country, coal country. the plan includes $20 billion aimed at creating jobs for young people.
the unemployment rate as you know, is twice as high as for young white folks. we have to get all of our young people in a path to good paying jobs so they can develop their skills and dreams. we have to make sure that we are not only creating the jobs but connecting black communities to where the good jobs are. which means being strategic about our investments and transportation and transit. i was a mayor. mayors get the connection between housing and transportation and work. they have to be connected. incidentally baltimore, cities like richmond, cities around the country, especially cities that don't have a subway system or in some cases like richmond, in a comprehensive metropolitan bus system because of some reticence , we have to do more work. we have to do better. we have a real plan including expanding access to capital to support black entrepreneurs,
especially black women who represent the fastest-growing segment of women owned businesses in this country. [applause] that is a success story and you see something sometimes you want to invest where something is not working. sometimes you have to invest where something is starting to work in with investment you can accelerated. businesses owned by black women is one of the areas that are really starting to grow. with more bezos as we can to take off. this is something you are focused on. it -- acted it, let's ensure equal pay for women. [applause] this is one of the simple things we can do. it would benefit women of color in a very significant way. we have to reduce inequality in our educational systems starting with greater access to early childhood education. pre-k. [applause] universal brca is not just great for the economy and a lifesaver
for working parents, other research shows it is the way to give the kids the best possible start in life. when i was governor of virginia, it is where you have one signal term for four years. i happen to draw the term that coincide with the worst recession since the 1930's and that meant i had to make a lot of painful moves. thatne area of government i significantly expanded was pre-k education. 40% more kids, low income kids, were in pre-k classrooms all around virginia when i left. i know the power of that investment and so does hillary clinton. to reversewe have the dangerous slide back towards resegregation of our schools. it is a huge step backward for our country and it's bad for our kids to ought to be able to with how to live together the community of people they will be working with. every child in america deserve to live in -- learn in a great school. we have a plan to rebuild, and
if a structure and support for schools is not just about school construction, it has to be about the renovations of schools and communities that were put a long time ago but need renovation so that the students can learn a 21st century way. oncology hillary and i have a plan to make your everybody wants to go to college can afford to. you get tax credit to businesses that invest in training and apprenticeships. there are many great pass to a great job, not just college. career and technical training. the plan includes a $25 billion investment in historically black colleges and universities and other minorities serving institutions. [applause] hbcs, you are all thinking about your hbc's, i bet there are some non-virginians who are alums of the ones i just mentioned have produced the finest leaders in our countries
history and are still doing critical work today and that work is needed tomorrow. we have a plan, and this is so we have to tackle this criminal justice reform. [applause] the urban league has been very thoughtful about that. i practice law enough to know that the legal system is stacked against those who have believed our. we have seen the toll it takes on families torn apart by excessive incarceration and children growing up, going up in homes shattered by prison in the poverty that prison produces our sellers. we have to not just acknowledge that, there is starting to be an acknowledgment, even a bipartisan acknowledgment that we need to do something but we're still waiting for action at the federal level. we have to take action to end the era of mass incarceration. i want to commend president obama. just yesterday he commuted to life sentences of more than 240
nonviolent drug offenders, including some from virginia. [applause] you know this. we can't rely on executive action of mine. we have to reject the whole system. we have to dismantle the school to prison pipeline. cut mandatory and him sentences berkman of them -- low-level nonviolent drug offenders should we have to make sure there are jobs and support available when people get out of prison so that when they want to get their lives back on track we give them a path to get the last back on track. -- lives back on track. [applause] these are issues i worked on as governor of virginia and cosponsored much of the criminal justice reform currently pending in the senate and hillary has made it a priority because we are country, thank god, we are second chances are possible. we believe in second chances as a people. we just have policy that necessarily put that belief into action. finally, this is the one i feel ,ost acutely as a former mayor
ndshave got to rebuild the bo of trust between law enforcement and the communities they serve. [applause] we have to do it. this is something across our nation. their communities where those moms are very strong, but there to make ranges where the distance is too great, too many african american families, morning the lives of family members killed by police or who died in custody and at a federal level, we still don't even keep track of the data to know how often it happens. that tells you that it is not a priority when we don't even bother to measure it. people here baltimore know this so very well. just as people. virginia know this. uprofound distance has grown between law enforcement and too many places that distance is dangerous. dangerous for the communities and dangerous for our police.
we had national night out, i imagine most of you have national night out events in your communities, we had a national night out celebration i n richmond. a family did it on their front porch to bring the community and placed together. there reason they did it was their boy had just graduated from the richmond police academy coming into being a police officer come i've know him since he was five years old, the fifth of his lifelong dream and i looked him -- into his eyes and kids like him and police officer to of been around for a while, there are some the honorable police officers who don't get in the job to fight crime, they get to the job to prevent crime. that distance that has grown up for a lot of reasons stands in the way. montrell jackson, what of the police officers killed in baton rouge on july 17 wrote about that distance on his facebook page just a few days before he died. he said when i'm in my uniform,
i get nasty, hateful looks. when i'm out of my uniform, because the color my skin, some people look at me and consider .e a friend -- threat he was talking about that distance. he happened to be one of those good police officers was killed. he concluded saying these are trying times, please don't let hate infector heart and then he said to any protesters, officers runs in family, i'm working these streets and if you need a hug or what to say prayer, i've got you. him give meers like hope. there is a lot we can do. let's invest in training. training budgets are with a bunch that most got hammered when we went to a national recession. rescission, but just have to be cut, what is the first thing that gets cut? turning. ning.ai
we have to invest in more training to deescalate these situations so they don't turn violent. hillary has pledged to do that. let's support independent data collection investigation and if necessary, prosecution of police involved deaths and let's learn from the committees that are doing it right. we brought come down richmond embracing community policing, not zero policy -- tolerance policy. there are cities all across the country doing it. we just have to go to the places doing it right and do more of it. let's apply that nationwide. if hillary come as she said million times, -- as she has said many times, everybody benefits when this respect for the law and also when everybody is respected by the law. and you alln and on know that hillary clinton is famous for being a policy wonk and i am too. as you said, if it is about your
kids, if it is about your business, if it is about your job, it is not a detail, it is a big deal. being about details is what we are about because these things matter. if you elect us in november, you have two people in the white house working hard on these issues every day listening, partnering, bridge building and we will go after it. look, we're not going after it on her own. we want to do it in a in robustp and even dialogue. hold us accountable for the promises we are making. we have a lot of for to do and you know that better than anyone. we have a lot of problems that it, thising and face campaign has laid to rest on divisions that the remain in this country. racism, sexism, islamophobia. america has some healing to do and the urban league is so well-positioned to be part of the healing group to help this nation. it is more than about laws and
plans, more than about policies, it takes people from all walks of life reaching out beyond themselves, beyond them comfort zone -- their comfort zone and try to see things from other points of view which really means try to see folks and humanity. when i started to practice civil rights that anybody who is a person of color, frankly anyone who has -- a religious minority, you have to learn the ways of the majority of the survival instinct. you have to learn in order to survive the ways of the majority. so often those of us in the majority, we are not forced to learn the ways of anybody else. we can insulate or wall ourselves off without intending to. we have to force ourselves out of our comfort zone to learn about the realities of all the beer for parts of this wonderful american tapestry. that if the work we have to take on our shoulders. that is we built -- build communities in the country as
vast as ours. to conclude, and i do consider urban league support his friends, we need your help to win this fall and i'm not ashamed to come here and ask for it. please call your friends, please call your families, please make sure they are registered to vote. i don't if you sought, last week, there were a series of 14 -- court cases tracked down in a number of cases arbitrary restrictions try to hold people back from voting. [applause] the most severe upset the restrictions was in north carolina, construct down by federal court that found that the restrictions had been put in place intentionally to block african-americans from only participating in voting. what is it to audience in greensboro, if you know anybody who ever said to you that their vote doesn't matter, just say this, if your but does not matter, let the other side working so hard to keep you from being able to vote? if they think it matters, and that should tell you that it matters.
and volunteere and participate and knock on doors and do everything possible. claim the democracy, put in our hands. whether we elect will not magically fix any of the problems described but i can promise you this, with a clinton-kaine administration come he will have a best president and vice president will be a partners. we will work our hearts are. reduce inequality, battle against incorrect injustice and give all of our children, auguste children because they deserve -- all of god's children a chance they deserve for a bright and healthy future. we will stand up and say that love trumps hate, and let's elect hillary clinton to united states. thank you. [applause]
atlantic will talk about how american politics with thene which he compares division between the white house and the congress. be sure to watch washington this morning. >> more road to the white house this afternoon. hillary clinton will speak at the national association of black journalists at their annual convention. we will take you there at noon eastern live on c-span. and in the evening, on the green bay, wisconsin where donald trump will hold a rally for his supporters.
that is live at 8:00 p.m. eastern on c-span. >> that we hear from the american college of pediatricians on zika virus and pregnant women. this is just over an hour. >> good afternoon, everyone. welcome to the center for american progress. and executive vice president of external affairs here. i want to thank each and every one of you for joining us for a timely discussion about the zika virus. and women's health.
in recent months we have seen zika transmission escalate in parts of the developing world and here in the united states. according to the centers for disease control and prevention, the mosquito-borne virus has infected over 6000 people in the united states and territories including more than 800 pregnant women. the pentagon has reported that at least 33 american servicemembers have contracted seek a overseas. -- zika overseas. just last week, the florida health authorities reported the first likely cases of mosquito transmission in the continental united states. as the cdc director recently declared, zika is now here. these cases are just the beginning and congress can no longer ignore this urgent and dangerous public health crisis. the center for american progress estimates that more than 2 million pregnant women in the
united states are potentially at risk of zika virus the summer and fall. for pigment women, the zika virus can cause and lead to a serious condition of birth known as microcephaly which can have severe lifelong effects on children's physical and mental development. it can cost anywhere from 1,000,000-10,000,000 dollars over a lifespan to care for a child with microcephaly and there is no vaccine for the condition. nor is there one for the zika virus. that is what makes prevention of zika in the first place so critical. unexpected health issues like zika can present tremendous challenges for already disadvantaged communities and sink families deeper into poverty. this is a vicious cycle as many of these committees living conditions that can compound zika transmission including lack of access to shelter or
air-conditioning, living or working near standing water, and inadequate health insurance coverage. these families cannot afford to wait any longer for congress to take action on zika. the good the good news is we can prevent zika transmission. in zika response efforts, we can help ensure access to contraception, family planning, and maternal health care for women at risk. for families of children born with microcephaly, we can ensure access to quality pediatric care and social support services. and we can support research and development for a vaccine an adequate testing. in order to do all of this, we need congress to abandon political wrangling and allocate adequate emergency funding to combat zika. without harmful restrictions on women's health care. since president obama's request
in february of $1.9 billion in emergency zika funding, congress has played political football with the lives of those at risk for zika transmission. in fact, the situation has become so dire that the administration has had to shift money from the fight against ebola because congress won't approve new funding. once more, senate majority leader mitch mcconnell, house appropriations chairman hal rogers, representative tom full and other republican leaders have put partisan politics before the needs of the people they were elected to serve. here we are in august, the day before the olympics in brazil, place where zika is responsible for over 4600 microcephaly cases alone and we still have no resolution, no dedicated emergency funding. congress has gone on vacation. even after they return, senator mcconnell and republican leaders
have promised to make sure capitol hill is as an action packed as ever. we can't let that happen. the time for denial and delay has long passed and every day without this funding puts more women and families at risk. make no mistake, we have the tools to quite zika. what we lack is a congress with the political courage to do right by the american people. today you will hear from a distinguished panel of public health experts and advocates who are fighting to ensure that women and families have access to the services they need in the face of zika. their discussion will examine our efforts to combat this crisis and why women's health care must be an integral part of any effective zika response. first we will hear from someone who has been at the front lines of the crisis, dr. jewell mullen
as the principal deputy secretary for health at the department of health and human services, dr. mullen has helped coordinate the administration's response to zika at home and around the globe. we are thrilled to hear her and site this afternoon. please join me in welcoming dr. mullen. [applause] >> good afternoon. i would like to thank mira and the entire cap team to be a part of this important event i want to thank you for the introduction. especially appreciate this convening because we are discussing an ever important topic, ensuring access to maternal and reproductive health care at a critical time, the
zika outbreak. the disease is characterized by transmission by both mosquitoes and sex that has associated potentially severe birth outcomes. speaking from my new, almost seven months perch as a federal official, i want to share that as a physician and public health practitioner, i'm speaking to you from both of those positions knowing my words are those of a person will always be herself as a doctor first. people who only know me as someone who works in government, asked me, have you ever been a real dr.? i assure you, from the way in which i approach my work, that i still am. to know that i mean it and understand when i say i really
appreciate this meeting and your work, because what you do is so much closer to the people, the community, and the patience than i am at this point in my career. for the administration, so much of the work and progress of the past several years has been rooted in the belief passed down from generation to generation that we can continue to strive toward equity. we can work together to level the playing field for all americans. we can give all of our sons and daughters, our families, the opportunity to grow and thrive and succeed. it's at the heart of that. the the progress is at the foundation of our country's values. we know that health is the bedrock that forms the foundation. you don't have to look far to see the results of that incredible work of the past several years which now includes having more than 20 million more
americans who for the first time have access to coverage for themselves and families. work that has led to a more than 50% decline in the uninsured rate for african americans and a 27% decline for latinos. today, today, women can no longer be denied coverage for a pre-existing condition like childbirth. we also know there is a lot more we have to do. and even more sometimes when we think about african-american and latino neighbors who are less likely to have access to health coverage and access to care. zika challenges us to mobilize around that reality. while women have improved access, we still have work to do for women's health knowing that women's health is far more than reproductive health but that we
can't separate the two. progress on women's health is a comprehensive approach focusing on health and well-being for all women. daughters, sisters, grandmothers. two months ago at the white house united states of women summit were women from all walks of life came together. they said by working today, we can change tomorrow. i was fortunate to moderate a panel on unplanned pregnancy. in in that conversation, there were many reminders that i wanted to share briefly for today. in that conversation about unplanned pregnancy, we had to remember that what we convey to women and sometimes i say women and teens because i don't want us to think about one population we are addressing. we want to convey things in a way that addresses the needs and
desires an understanding of the people that we serve. that conversation we had was informed by panelists from new york city and sierra leone among others. the diversity with which we need to approach that work to achieve equity is key. i have been able to observe in the work we have been doing on zika what that means to address maternal and reproductive health with equity in mind and because of the work i have done in puerto rico, to understand that when you are addressing these issues for populations in which the economic conditions can far outweigh the concerns about a disease for which four out of five people infected have no symptoms, the conversation requires true information and
informed decision-making for an individual are needing to be informed by the insights that everyone at the panel will will share today. i want to stress that because one of the things i understand working at the federal level is that with all of our expertise and science and policy guidance, that is what it is. it's work that we do on behalf of populations. what has to happen with that work is it has to be translated to be useful for the individual people who need to be able to make personal decisions for themselves. in this case, around reproductive health. i know as a physician how much that relies on shared decision
making conversations with clinicians who understand, who have the information required to be able to help women make those decisions. some of the work we have done at hhs in response to zika have been investing more than $300,000 in emergency funding to our title 10 programs in puerto rico to expand access to contraception. we have been doing training. this is to ensure that our work with partners is culturally and linguistically appropriate. and to ensure that our services really reach those in need them most. at the office of population affairs, they released a toolkit for providers for counseling women. we are also working with states, territories, tribes on steps
they can take to prevent and respond to zika. alongside that health care work, we are sharing advice on the best ways to control mosquitoes, working to improve diagnostic capacity and to keep the blood supply free of zika. we already mentioned vaccine development and improving diagnostic testing. underneath all of that, what might be most important is the hard work that is done every day to improve our communications , an especially important technical and human skill for everything else that needs to be done to equitably ensure access and enable women to make the decisions they need for themselves.
we are working with a number of partnersrom women's access to effective contraception. as we do all of this, i also understand the limitations of our reach on the federal level which is why it's so important for us to continue to partner with you and to take your feedback so that we can continue to be better at her effort. -- our efforts. but we do need to work with you to spread the word about zika, how it's transmitted, how pregnant women, women of childbearing age and actually everyone can protect themselves. and we need ongoing advocacy for our communities, for us to have the resources that we need to implement not just mosquito prevention efforts and contraception efforts but sustainable improvement in
conditions which, in addition to helping us address zika in the long run when we talk about disparities and equity, can make many more kinds of differences in the lives of people along the way. thank you for your work. thank you to the panelists for what you do and i look forward to our ongoing partnership. [applause] >> thanks to both of you for setting the stage for this
important conversation. i'm a senior fellow at the center for american progress. i i will be moderating the panel discussion portion of today's program. we have an impressive group of women's health experts here on the panel today. i will introduce them briefly but also encourage you to access their full bios online. first first, in the beautiful red dress, we have the senior director for government relations at the national latina institute for reproductive health. she was responsible for the organization's washington dc office and oversees all government relations and policy advocacy work. prior to joining the latina institute, she worked as public policy director for planned parenthood affiliates in california. coleman ine claire her seventh year as president and ceo of the family planning and reproductive health
association. before joining the frock, she served as president and ceo of planned parenthood before that in new york. she has held a number of positions in the united states house of representatives including chief of staff and legislative director for appropriations committee ranking member nita lowey. have dr.d we christopher zahn. a retired air force officer, and member of the armed forces district, he received his medical degree from uniformed services university and is a specialist in comprehensive obstetrics and gynecology and has been practicing for 29 years. before joining acah he served as a physician and the department of obstetrics and gynecology and pathology at walter reed national military medical
center. last but not least, we have latonya. she joins planned parenthood federation of america in she is 2011. the executive director of planned parenthood global and vice president global. in this role, she sets the course for the international engagement on all international issues and, prior to joining planned parenthood, she worked for the united nations children's fund as well as the u.s. agency for international development. thank you all again for being here. the first question i have this afternoon is directed to all of you. i wanted you all to describe how your organizations are working to address zika. let's start with claire. >> thank you. the national family planning and reproductive health association is a membership association in all 50 states and several territories. we represent nearly 800
institutional providers of family planning and sexual health care nationwide so that includes 33 state governments, 15% of the nations federally qualified health centers and 80% of planned parenthood affiliates as well as many other private not-for-profit providers of family planning. we are working on zika response from two approaches. the first is in service delivery. the federal advisory around how we should address peoples concerned, women and men in health services, has led to concern and confusion in the field about how to translate guidance which hasn't moved as -- has moved as new information has come to light to individual patients who come in with concerns. we have a team in texas today meeting with title 10 family planning grantees and their service delivery network to talk about how to translate the guidance of coming from the feds and local health department into practice. how do you operationalize preparedness and what do providers and local communities need to know today in order to
be appropriately responsive to the field? we also work in advocacy and communications raising the voice and concerns of this network. we we have about 4100 health center sites around the country in governmental units, private not-for-profit units which are working to interpret this guidance and operationalize it for their community and to community awareness and make sure they have supplies on hand. it's important for us to participate in the coalition effort to call attention both from the administration and the congress to the pressing need for resources. >> anne marie? >> the national institute for ,eproductive health and justice it is the only latina national organization that represent 28 million latinos and their families. we do it through reproductive justice.
what we do is to full. a lot of what we are doing is we have community mobilization that works in teams in new york and florida, in texas and virginia which also happens to be the hotspots where zika is taking place. a lot of our work right now is working with the community and trying to answer questions and trying to hear what their concerns are and what their needs are. then relaying that backup to d.c. which of the second part of our work which is the advocacy and lifting those concerns and addressing them and putting pressure on congress, for example, to move forward with emergency funds. >> thank you. >> it's a pleasure to be here and thank you for having this conversation. it's important for us at planned parenthood because we have the privilege of serving one out of five women in this country and over one million people per year in latin america and africa. for for us, it's incredibly important to keep women at the
center of this debate around zika. on a normal day, women who are marginalized in parts of the country whether its geographic or parts of the world where they are not receiving services, they have unmet needs we are trying to address on a normal day. in in latin america in particular, the rate of unsafe abortion is startling. we were talking earlier this week with our colleagues in the government about the average 15-year-old in latin america, their initial sexual entrance was through violence or rape. these are women who when we, when i later start saying why don't we just wait to get pregnant while we figure out how to handle zika. they can't do that. it's very important that women remain at the center and we take take the caution from who and
cdc that reproductive health has to be a huge part of the response amount for our work is centered. >> thanks very much for the opportunity to be here. acah is slightly over 50,000 members of obstetrics and gynecology and this area is of special interest to us. this is the first time, it's a unique time, it is the first time when there is a mosquito borne illness whose primary impact his birth defect. never before seen. it's an incredible time to be involved in women's health care. our major goal is primarily clinical. we are in daily contact with the cdc. we work very closely with them. we try to spread the message and information the cdc develops. i'm sure everyone is aware of
these guidelines and they can quite frequently. we have updated our guidelines probably six times in the last couple of months. the most recent one came out last night to advise and not surprisingly, when there was little information known in the beginning, the guidelines were relatively brief. now there is more known but clearly, we know far less and the guidelines are much more expanded. therefore they are challenging , to understand and implement. the implementation pieces translating those guidelines into practice in the trenches. a a patient shows up who has been exposed to have traveled somewhere in what to do and how to get the testing done and how to interpret the testing and advise her on what her risks are and what the prognosis is as best we can and how to further manage the pregnancy. we work very closely with the other women's health care organizations, nurse
practitioners, midwives, family practice and anyone involved in women's health to try to get this message out as much as possible. we are involved in advocacy not only for the funding issue but also access to health care and reproductive rights, etc. there are two populations, the women who are pregnant or planning to and their aspects and clearly, there is avoiding the pregnancy and to paraphrase dr. freeden said we don't know how to prevent zika but we do know how to prevent pregnancy and we need to make an effort to do that. >> thank you. can you walk us through the standards of care in a zika related case for to attrition's for pregnant women particularly? >> i should have made more copies but i have our most recent practice advisory.
generally for women it varies , based on whether the person lives in an endemic area versus has traveled there. unfortunately, as of the last week or so, we now have an endemic area on the mainland. for people with the majority, there will be those people who travel to an infected area. there are guidelines as to who should be tested and what type of testing should be done. it has gotten a little bit easier with the most recent guideline. there is a division between whether they have been exposed within the first two weeks or it has been after two weeks but before 12. there are guidelines as far as what type of testing should be done in the early exposure. it's a combination of molecular testing done on both the blood and the urine specimen and, depending on the result of that, a follow on test looking for anti-bodies is done. in peopleof flip
exposed beyond two weeks. depending on the result is how they are managed. if the woman test negative and she is asymptomatic, we would generally recommend an ultrasound to make sure there are no abnormalities. if that is normal, they are cleared for the most part. for those who test positive, it's a more intensive surveillance looking for abnormalities. i can keep on going for three hours. [laughter] going back to the issue about what we know, we know that 80% of women who are exposed will not develop symptoms which makes it incredibly challenging. we also don't know that if a woman gets infected, what her risk of transmission is. we don't know how many actual babies will be infected and the rates that have been reported range from 1-30% which is huge. secondly, we don't know if there
certain women and babies that might be at higher risk of getting infected compared to those who don't. there might be underlying immune profiles or other cofactors that may play a role into how that maps out. for the women who are asymptomatic but exposed, how they develop disease. the other is the time course. we were used to think based on some of the initial data that women were at higher risk of having an infected fate as if they were exposed in the first trimester. there has been subsequent reports that refute that and women can be exposed later . one of the script aspects of this, clean note their basic science research that has been done that and a lot of infectious diseases, the damage that occurs in whatever organ system is can be related to the infection and the immune response. we know from some data in zika that it can directly attack
brain cells, the neurons in the brain. one of the real fears and a clear unknown is that even an infected woman with a normal baby that does not show symptoms, we don't know that that virus is not going to continue to attack the brain cells of the newborn after birth. we have no idea what those developmental abnormalities may or may not be and what the risks are and what the percentage will be. one of the most important aspects of everything we do is the registry the cdc has created to follow these children after birth to see what happens to them down the line. >> thank you for that. i want to shift things and talk about the the title x family planning program which claire talked about. as important as the title x program is for women, it's also been a big topic on the hill. as
as well as in terms of making sure that women have access to family planning through title 10 clinics. can you talk more about how ofortant title x is in terms access for family planning for women? >> at first, i would love it to be more central. neither the president possibly -- original quest for emergency spending which came about two months before the cdc confirmed causality and all of the negotiations that have happened throughout the spring added additional sources for the planning network. let's talk about title x briefly. it was enacted in 1970 under richard nixon and is intended to provide a network of direct health services as well as support for poor, low income, uninsured or underinsured people across the united states. today, today, the network has about 4100 service sites in all 50 states and the territories and
d.c.. we see about formally and -- 4 million people. to put that in perspective, we estimate that about 20 million women of reproductive health agent meet funding in order to access the contraceptive supplies and services they need. noon i we are meeting about 1/5 of the need in the title x network. it is important to note that title x must see patients without regard to their ability to pay. that is true of all public health service act programs. we must see people without regard to documentation or whether or not they can prove citizenship. these networks are providing direct contraceptive care, counseling, pregnancy testing fci screening and treatment as well as services that support people who want to become pregnant.
support people who want to achieve pregnancy and that includes basic fertility screening as well as providing service to help people event tennessee. this is a network that is a safety net for the united states. title x centers are not just a place for people with no insurance. folks with insurance water outdoors everyday and folks with medicare walk through our doors everyday. the funds subsidize the care for people who have no other pay source. these are health centers as diverse as the one in dallas which operates outpatient women's health center at 33 state governments run their title x networks in mississippi, florida, alabama, north and south carolina as well as states , these are vermont states where the title 10 money goes for the state government and they authorize the network. throughout these networks, people are being seen regardless
of their ability to pay for it what we need is a drastic infusion of funds to be able to afford first the staffing necessary that is trained and ready to do a wide variety of contraceptive counseling and methods and that's important for long acting reversible methods of contraception. we need the funds to actually buy supplies and have them available same day on-site all across the country but particularly in the endemic areas. and we need funds to support the community awareness and partnerships we are being asked to serve. we are being asked by the fed to connect with wic programs because that population is often one we see in title 10 to make sure that the people coming in for wic services can get an idea of what's available in title 10 but there's no funds to do community education or partnership development or awareness. the network has
taken $41 million in cuts since fiscal it's a network that has 2010. lost enormous capacity, lost 1.1 million people out of the networks and close health centers and laid off staff. i came from providing services and i did the rounds of layoffs in three years. you cannot bounce back when the crisis arrives unless you have the money to put the people into place that make these services possible. >> from what you said so brilliantly, title 10 has an important role in communities. it's already underfunded in terms of any. terms of the need. also when you think about a public health concern like zika, you will have even more people in need of access to services through title 10 clinics so thank you for that. let me shift things to anne marie. i would love for you to talk
about the potential impact that zika could have particularly on the latino community. it was something that dr. mullen touched on in her remarks particular how communities of color could experience a disproportionate impact when it come to zika so please talk about that. >> thank you very much. i will echo a lot of what has been said. we rely on title 10 clinics to access care because we have a diverse community. roadblocke a lot of and ability to access care. are uniquelys that impacting the community is just education and competent care. my earlier remarks i was saying that we hear from people on the ground and one thing we hear constantly is that there is very little information right now going to the community.
it is hot and cold. seek is really dangerous or will not impact me at all. there is a desire to learn more. know been requests that we but theythe ability don't have the access to those training to learn more about zika and what it can do. right now with the community is: the families in central america and trying to find out what they know so they know what to do here in the united states particularly in the endemic areas. there has been cuts to title 10 clinics but we have not seen the aca fully realize. in states where we are focused in like florida and texas, medicaid expansion is not happen
there and it's so important so folks can have access to care if the clinic is open. i can keep going on the impact on how there is limited access, limited education, and limited resources and that is impacting our community. we have a lot to do. >> thank you for that. you mentioned florida which has been in the media and in the news over the past couple of days particularly for new cases of locally acquired transmission of zika from mosquitoes. one of one of the things i wanted to mention about florida is the fact that florida has not expanded medicaid leaving lots of people without access to health services they need. and also there over 2 million women there who want access to contraception and contraceptive services that don't have it so there are issues outside these
new cases around local transmission. it's the fact that access to family planning and contraception is limited for some women in florida. i want to shift things a little bit and talk about the international context a bit. as as most of you know, the olympics are set to begin in rio tomorrow. there has been some conversation about whether or not it has been safe to travel to rio particularly with the impact of zika there. i want to talk things over to latonya to talk a little bit about brazil and the context of zika. particularly women in the country. >> thank you. i will pick up where many of our panelists were coming from. zika will highlight of public health gap. we can talk about that in our country and understand where they are and were marginalized
women and women who don't have access to health facilities will land. but think about that from the aspect of a developing country, even a middle income country like brazil where there is a host of communities, particularly women, even afro caribbean women in brazil and other very special communities in that country and countries around latin america, they don't have access on a normal day to family planning, information about sica to doctors even. where as we know that will be necessary as we seek to address this issue. when we think about what women will need for zika and to deal with this, we know they will need more access to contraception, not less. we look at where the funding is going, where the emphasis and the communication around mosquitoes is going. i am a little worried that women
in brazil and other countries in latin america are not going to be as prepared and ready for this. we have seen that i think. i i think the trend will follow that if we are not able to operationalize this in those countries. of oure perspective partners we work with in latin america, it has been very clear that we have to do more of the same kind of work around family planning. we have to do a lot more around education to communities. it's not just in the u.s. think about women who every day have to deal with the complexities of their lives, having to think about this and not sure and not receiving information, no targeted services or advocacy towards them and lots of leaders talking about the issue but not much funding going toward it other than for mosquitoes in research and most of that is coming from outside those
countries. i think it's crucial for us to think about, again, women being the center of this. when you think about that, how do you get information and services out to these women? how how do you increase their access especially with sexual transmission where people hear it in the news but they are not quite sure what it means. is it the same or not? giving people the information they need to see for themselves what they need. i think that has to be from trusted providers like planned parenthood in the u.s. but the hundreds of partners we support in latin america. these are the people that women could do anyway. we have to make sure they are provided with the resources to be able to continue to have that conversation with their clients and get that out into the community to the various community-based programs we run. >> that's an important point. another thing that sort of comes to mind when we talk about underserved communities is how do we get information to those
communities. mentioned, the latino community, there are people that are not even getting information and it is not been translated into spanish. how do we reach the heart of these committees, especially when we are sitting here in rdc bubble talking about sica and what these communities need. a young woman in southeast d.c., what does she know about zika and how she can get information about transmission? >> from the international perspective, we have to look to organizations already doing it on other issues. there are other issues. i think about africa and ebola and malaria and the hiv-aids epidemic. there are many community-based organizations dealing with similar public health crises. we cannot act like they are not there and just say we need to go look at mosquitoes and a taxing. we have to lift up those limitations. planned parenthood as many
partners around the role that do this work every day in their communities. they are far-reaching communities outside the major cities of most of the countries in latin america. we have to support organizations like unfpa who is there every day doing this work and have a particular role but they are getting less funding than ever before. we have to think about international family planning that is getting less money than ever before. it's here and we have to address these issues but we are not thinking about how to support and strengthen those structures and partners already in place and we need to do that. >> that into the communities go to. that is to the trust. >> you said earlier that zika is an example that highlights where we have gaps in care and caps off of access and gaps of services. we know what to do to prevent an
on -- unintended pregnancy. we should dedicate those resources and build upon them instead of cutting them which is what we are seeing happening. looking at the infrastructure, building on it and going back to what you have said which is there are many community-based organizations including us who are on the ground and are already trusted for people to turn to. we need the resources to give them the information. i think that is a key element to what we are doing. >> right. you mentioned resources. we we talked about the lack of moving forward on the terms of its funding from congress. the request was made several months ago by the president, $1.9 billion, to exist -- to address sica transmission and the u.s. and abroad. what do we do while we are waiting for congress to
appropriate the funding we need? >> we can't wait. there has been some effort from administrative agencies to move money that was available. for the rico got $300,000 in emergency money in that money april. directly went from title 10 into the grantees in puerto rico. it's important to underwrite their efforts. the rate of unintended pregnancy and puerto rico is criminally high. women do not have access to methods at a much greater rate than we see in the mainland u.s. so $300,000 was a drop in the bucket. the system they were able to put that money righties. there has been a lot of emphasis on training. it's not unimportant. that's getting the pipeline together. the notion is that there are countryces in the
especially in governmental , health systems or the local health department is family planning on monday, infectious 's disease tuesday, the school nurse on wednesday, back, local health apartment on thursday because the local health department is doing everything. these are not networks offering five day access to contraception. when you wind up in a crisis in a governmental family planning system, sometimes delay is because we don't do family planning until next the notion monday. of trying to be ready every day for a patient who may come to the door says they have been traveling and are exposed and are worried. what do i do? so we can meet their needs immediately. that's what we have been doing without any extra money. i would love congress to stop the shell game over existing resources. there is no way we can fill the gap in public health in the u.s.
without coming to a reckoning about how much we have destroyed the public health infrastructure in the united states. it's not just family planning, it's also true for stds. we zika is a sexy transmitted infection. we lost 30% of the capacity and a sexually transmitted disease system in this country due to funding cuts over the last six years. this is not a battle ready public health infrastructure. it's unfortunate that it takes a crisis to draw attention. in the past, this country has been able to pull it together in crisis. this is a place where we have stopped dead in our not making progress in the face of a crisis. >> the other thing to highlight is it is more than just having providers and supplies to provide contraception. that's based on the assumption that 100% of the women will want it. we have cultural aspects that we
need to consider. to highlight puerto rico, the unplanned pregnancy rate is incredibly high but some of that is cultural. they just don't believe in contraception and some of it is religious background. we face some of the same issues in the mainland u.s. so it is critical that we get the importance of the education out that this is a public health crisis and contraception is not just a pregnancy prevention because of having sex. it's prevention because of this incredible illness that can where the unborn fetus. peace, certainly looking from our perspective we , have to educate our providers to get the word out and talk to their patients and work on the local communities but we've got to educate the patient's best what the risk really is and try to address some of these cultural and various misperceptions about contraception and the dangers.